Individual provider · Type 1 NPI
Bethany Kittle Burgess, LCSW
Mental Health Counselor · Okemos, MI
NPI number
1174723019
Active
Practice location
4409 Dobie Rd
Okemos, MI 48864-2900
Mailing address
PO Box 1618
Wrangell, AK 99929-1618
Other practice locations
- 2751 E Jefferson Ave, Detroit, MI 48207-4180 · (313) 993-3434
- 112 Federal Way, Wrangell, AK 99929-9800 · (907) 305-0301
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
Another provider at this address
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About NPI 1174723019
Bethany Kittle Burgess, LCSW's National Provider Identifier is 1174723019, issued on Jul 19, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Okemos, MI. The record was last updated on Dec 4, 2023.